Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,000.00 / $20,892.96	Facility		$3,981.07	$10,000.00	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $4,466.84	Professional		$831.76	$1,174.90	$4,466.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $2,187.76	Professional		$891.25	$1,122.02	$2,187.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,370.32 / $13,182.57	Facility		$66.07	$5,370.32	$13,182.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $2,511.89	Professional		$912.01	$1,318.26	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,715.35 / $7,413.10	Facility		$758.58	$3,715.35	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,148.15 / $2,187.76	Professional		$741.31	$1,148.15	$2,187.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,318.26	Professional		$676.08	$977.24	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $2,630.27	Professional		$794.33	$977.24	$2,630.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $42,657.95	Facility		$16,595.87	$16,595.87	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $9,772.37	Professional		$8,709.64	$8,709.64	$9,772.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,949.84	Facility		$851.14	$1,174.90	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,148.15 / $2,344.23	Professional		$707.95	$1,148.15	$2,344.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,445.44	Professional		$794.33	$1,023.29	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $11,748.98 / $25,118.86	Facility		$5,248.07	$11,748.98	$25,118.86
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,949.84	Professional		$724.44	$977.24	$1,949.84